Male Breast Reduction chest contouring is the same sculpture whether you are working on a XY male, a XXY Klinefelter Syndrome Male, or a XX FTM male. The breast to be reduced comes in many different sizes, shapes, and skin redundancies. Excess skin and larger areola diameter issues are more common in the transgender population with a higher chance for needing a Skin Reduction Chest Lift. Yet, if this patient is not starting out with those excesses, then why have the trade off scars?